Puas muaj teeb meem nrog koj cov ntshav? Cia peb kawm txog Coombs Test!

Koj puas tau hnov ​​txog qhov kev xeem Coombs? Tej zaum koj tus kws kho mob tau qhia koj txog nws, lossis tej zaum koj tau ua qhov kev xeem no thaum koj cev xeeb tub. Txawm hais tias nws yuav zoo li nyuaj me ntsis, nws yeej kuaj xyuas qee yam tseem ceeb hauv koj cov ntshav. Hnub no, peb yuav tham txog qhov kev xeem Coombs yog dab tsi, nws tuaj yeem qhia koj dab tsi, thiab thaum twg nws ua tiav.

Kev Ntsuas Coombs yog dab tsi?

Hais yooj yim xwb, kev kuaj Coombs yog ib qho kev kuaj uas kuaj seb puas muaj cov tshuaj tua kab mob hauv koj lub cev uas tuaj yeem tawm tsam koj cov qe ntshav liab. Tam sim no tej zaum koj yuav xav paub tias cov tshuaj tua kab mob no yog dab tsi.

Xav txog peb lub cev zoo li lub chaw ruaj khov. Peb muaj ib pab tub rog hauv peb lub cev los tawm tsam cov yeeb ncuab (cov kab mob, cov kab mob me me, thiab lwm yam, uas peb hu ua antigens ) uas los ntawm sab nraud. Cov tub rog tshwj xeeb no hauv pab tub rog ntawd hu ua cov tshuaj tiv thaiv kab mob. Lawv paub thiab tawm tsam cov tshuaj lom neeg los ntawm sab nraud, tiv thaiv peb ntawm cov kab mob.

Tiam sis qee zaum, cov tshuaj tiv thaiv kab mob no hauv peb cov tub rog ua yuam kev me ntsis. Lawv pib tawm tsam peb cov hlwb zoo, noj qab nyob zoo, xav tias lawv yog cov neeg txawv teb chaws tuaj txeeb peb. Thaum ntawd teeb meem tshwm sim. Qhov kev xeem Coombs feem ntau nrhiav cov tshuaj tiv thaiv kab mob tawm tsam peb cov hlwb ntshav liab.

Kev Ntsuas Coombs siv rau dab tsi?

Yuav kom nkag siab qhov no, koj yuav tsum paub ua ntej tias muaj ob hom kev xeem Coombs.

1. Kev Ntsuas Coombs Ncaj Qha - Qee zaum qhov no kuj hu ua Kev Ntsuas Antiglobulin Ncaj Qha (DAT).

2. Kev Ntsuas Coombs Tsis Ncaj Qha

Tam sim no cia peb saib ob qho no sib cais.

1. Kev Ntsuas Coombs Ncaj Qha

Qhov kev kuaj no siv koj cov qe ntshav liab thiab saib ncaj qha rau ntawm lawv qhov chaw kom pom tias lawv puas muaj cov tshuaj tua kab mob txuas rau lawv. Xav txog cov qe ntshav liab zoo li cov pob me me. Qhov kev kuaj no nrhiav cov tshuaj tua kab mob uas tawm tsam cov qe ntshav tsis raug nyob ib puag ncig lawv.

Qhov no feem ntau yog siv los kuaj mob cov kab mob ntsig txog ntshav xws li autoimmune hemolytic anemia . Cov neeg uas muaj qhov no (autoimmune hemolytic anemia) muaj lawv cov tshuaj tua kab mob ua rau lawv cov qe ntshav liab puas tsuaj. Qhov no ua rau lawv poob cov qe ntshav liab uas lawv xav tau kom noj qab nyob zoo.

2. Kev Ntsuas Coombs Tsis Ncaj Qha

Qhov kev kuaj no tuaj yeem qhia rau koj tus kws kho mob yog tias muaj cov tshuaj tua kab mob uas ntab ywj pheej hauv koj cov ntshav uas tuaj yeem txuas rau cov qe ntshav liab.Qhov ntawd txhais tau tias, cov tshuaj tiv thaiv no tseem tsis tau txuas rau cov qe ntshav liab, tab sis lawv nyob hauv cov ntshav, npaj txhij txuas txhua lub sijhawm.

Qhov no feem ntau yog siv rau hauv ob qho xwm txheej:

• Ua ib qho kev kuaj ua ntej hloov ntshav: Ua ntej koj yuav muab ntshav, qhov no yog ua los saib seb cov ntshav uas koj pub puas sib haum nrog koj hom ntshav, lossis seb cov tshuaj tua kab mob hauv koj lub cev puas yuav tawm tsam cov ntshav tshiab.
• Ua ib feem ntawm kev kuaj mob thaum cev xeeb tub: Qhov no tseem ceeb heev. Cia peb tham txog nws kom meej me ntsis.

Kev Ntsuas Coombs thaum cev xeeb tub

Yog tias koj cev xeeb tub, koj tus kws kho mob yuav xaj kom kuaj Coombs tsis ncaj qha los xyuas seb puas muaj cov tshuaj tiv thaiv kab mob tiv thaiv cov ntshav Rh-positive hauv koj cov ntshav.

Tam sim no Rh no yog dab tsi?

Muaj ntau yam uas txiav txim siab peb hom ntshav. Ntxiv rau cov hom ntshav A, B, AB, thiab O, lwm yam tseem ceeb yog Rh factor. Ib txhia neeg muaj lub cim no rau ntawm lawv cov qe ntshav liab. Peb hu lawv ua Rh-positive. (Piv txwv li: O positive, A positive). Ib txhia neeg tsis muaj lub cim no rau ntawm lawv cov qe ntshav liab. Peb hu lawv ua Rh-negative. (Piv txwv li: O negative, A negative).

Piv txwv li, yog tias leej niam yog Rh-negative (piv txwv li, O negative), thiab tus menyuam hauv plab yog Rh-positive, qhov teeb meem tuaj yeem tshwm sim. Qhov no hu ua Rh sensitization. Qhov tshwm sim ntawm no yog tias leej niam lub cev tiv thaiv kab mob tsis raug lees paub qhov Rh factor ntawm tus menyuam cov qe ntshav liab ua "yeeb ncuab" thiab pib tsim cov tshuaj tiv thaiv kab mob los rhuav tshem nws.

Feem ntau, nws yuav siv sijhawm ntev rau lub cev ntawm leej niam los tsim cov tshuaj tiv thaiv no thiab rau lawv kom muaj zog txaus los cuam tshuam rau tus menyuam. Yog li ntawd, feem ntau, tus menyuam tsis raug cuam tshuam ntau thaum cev xeeb tub thawj zaug. Txawm li cas los xij, yog tias leej niam yug tus menyuam Rh-positive dua, cov tshuaj tiv thaiv uas twb tau tsim hauv leej niam cov ntshav tuaj yeem tawm tsam tus menyuam cov qe ntshav liab. Qhov no tuaj yeem ua rau tus menyuam muaj tus mob hu ua Rh kab mob . Qhov no tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj rau tus menyuam, xws li ntshav tsis txaus thiab mob daj ntseg. Cov teeb meem no tuaj yeem nce ntxiv nrog txhua tus menyuam Rh-positive uas leej niam muaj.

Tiamsis tsis txhob txhawj! Yog tias koj muaj feem yuav raug kev cuam tshuam Rh, kev kho mob kom zoo yuav tiv thaiv tau qhov teeb meem no. Yog tias koj twb raug kev cuam tshuam lawm, muaj kev kho mob los tiv thaiv koj tus menyuam. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum kuaj Coombs thaum lub sijhawm peb lub hlis thawj zaug ntawm cev xeeb tub.

Kev Ntsuas Coombs rau Cov Menyuam Mos

Yog tias koj tus menyuam muaj mob daj ntseg thaum yug los, koj tus kws kho mob yuav ua qhov kev kuaj Coombs. Qhov no pab nrhiav cov tshuaj tua kab mob "txawv teb chaws" uas tau txuas rau cov qe ntshav liab ntawm tus menyuam mos. Qhov no txhais tau tias cov khoom xws li cov tshuaj tua kab mob uas tau dhau los ntawm niam mus rau tus menyuam.

Kev Ntsuas Coombs ua li cas?

Yuav ua qhov kev kuaj no, tus kws kho mob yuav tsum tau coj ib qho ntshav me me ntawm koj.

Koj puas yuav tsum npaj rau qhov no?

Tsis yog, tsis muaj dab tsi koj yuav tsum ua los npaj ua ntej Coombs Test.

Muaj dab tsi tshwm sim thaum lub sijhawm xeem?

Tus kws kho mob lossis tus nais maum yuav siv ib rab koob me me los rho me ntsis ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab lossis tes. Thaum koj ntxig rab koob, koj yuav hnov ​​​​​​qhov "nias" lossis "ntsws" hauv koj cov zis . Qhov no yuav kav ntev li ob peb feeb. Tom qab koj tau txais cov ntshav, nws yuav raug xa mus rau chav kuaj mob kom kuaj xyuas. Tus kws kho mob yuav muab ib daim ntaub qhwv me me rau ntawm qhov chaw uas koj tho. Koj yuav muaj peev xwm tshem nws tawm hauv li ntawm 10 txog 20 feeb.

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig?

Feem ntau, koj yuav paub tau cov txiaj ntsig ntawm qhov kev xeem hauv 24 teev.

Cov txiaj ntsig ntawm Coombs Test qhia peb li cas?

Qhov kev kuaj Coombs zoo yog dab tsi?

Yog tias qhov kev kuaj Coombs zoo, lossis txawv txav, nws txhais tau tias koj muaj cov tshuaj tua kab mob hauv koj lub cev uas tuaj yeem tawm tsam koj cov qe ntshav liab. Qhov no tuaj yeem yog vim ntau yam. Piv txwv li:

• Kab mob ntshav liab autoimmune : Raws li peb tau tham ua ntej, ib qho mob uas lub cev cov tshuaj tua kab mob tua cov qe ntshav liab.
• Kab mob mononucleosis kis tau los ntawm kev sib kis : Qhov no yog ib qho kab mob ntawm cov qog o uas tshwm sim los ntawm kev kis kab mob viral.
• Mob qog ntshav lymphocytic ntev : Qhov no yog ib hom mob qog ntshav.
• Syphilis : Qhov no yog kab mob sib kis los ntawm kev sib deev.
• Kev kis mob Mycoplasma : Qhov no yog ib hom kev kis mob uas cuam tshuam rau lub cev ua pa.
• Lupus : Qhov no kuj yog ib qho kab mob autoimmune, txhais tau tias nws tawm tsam lub cev cov kab ke.
• Kev tsis haum tshuaj rau kev hloov ntshav.

Yog tias qhov kev kuaj pom tias muaj tus kab mob ua ntej muab ntshav (hloov ntshav) yuav ua li cas?

Yog tias qhov kev kuaj Coombs, uas ua ua ntej koj txais ntshav, yog qhov zoo, nws txhais tau tias tus kws kho mob yuav tsum ceev faj heev thaum xaiv tus neeg pub ntshav. Cov neeg uas tau txais ntshav ntau zaus yuav tau tsim ntau hom tshuaj tiv thaiv kab mob sib txawv. Yog li ntawd, nws yuav nyuaj me ntsis los nrhiav cov ntshav sib phim rau lawv.

Yog tias qhov kev kuaj pom tias muaj txiaj ntsig thaum cev xeeb tub yuav ua li cas?

Yog koj muaj qhov kev kuaj Coombs zoo thaum koj cev xeeb tub, nws txhais tau tias koj yuav tsum tau ceev faj tshwj xeeb los tiv thaiv koj tus menyuam kom tsis txhob muaj kev cuam tshuam Rh. Koj tus kws kho mob yuav qhia koj txog qhov no.

Coombs zoo txhais li cas rau tus menyuam mos?

Feem ntau, qhov kev kuaj Coombs pom tias muaj tus kab mob ntshav tsis txaus lossis tus kab mob daj ntseg. Yog tias qhov kev kuaj pom tias muaj tus kab mob no, tus kws kho mob yuav kuaj tus menyuam ntxiv thiab pom zoo kom kho.

Qhov tshwm sim ntawm kev kuaj Coombs tsis muaj txhais li cas?

Yog tias qhov kev kuaj Coombs tsis muaj, lossis zoo li qub, qhov ntawd yog xov xwm zoo! Nws txhais tau tias tsis pom muaj cov tshuaj tiv thaiv kab mob txuas nrog cov qe ntshav liab. Nyob ntawm koj qhov xwm txheej, nws txhais tau tias tej yam zoo li no:

• Cov ntshav tuaj yeem tau txais kev nyab xeeb los ntawm kev hloov ntshav los ntawm tus neeg pub.
• Yog tias koj cev xeeb tub, tsis tas yuav txhawj txog Rh sensitization cuam tshuam rau tus menyuam.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob ntawm tus kab mob ntshav tsis txaus, xws li mob daj ntseg, kiv taub hau, kiv taub hau, lossis muaj teeb meem tsom ntsoov , mus ntsib koj tus kws kho mob tam sim ntawd. Nws tuaj yeem kuaj koj, ua lwm yam kev kuaj ntxiv yog tias tsim nyog, thiab txiav txim siab seb yuav kho koj li cas.

Nco ntsoov tias, ntau yam tsos mob uas pom ntau zaus zoo ib yam li lwm yam kab mob. Yog tias koj xav tias muaj dab tsi txawv txawv lossis txawv, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau lus qhia.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kev Ntsuas Coombs yog ib qho kev ntsuas tseem ceeb uas nrhiav cov tshuaj tiv thaiv kab mob uas tuaj yeem tawm tsam thiab rhuav tshem koj cov qe ntshav liab. Yuav ua li no, yuav muab cov ntshav coj los ntawm koj. Txawm hais tias cov txiaj ntsig ntawm Kev Ntsuas Coombs tuaj yeem pab taw qhia koj pab neeg kho mob mus rau txoj kev raug, qee zaum yuav xav tau kev kuaj ntxiv kom nrhiav tau kev kuaj mob thiab kev kho mob zoo. Yog li, ua raws li koj tus kws kho mob cov lus qhia kom meej. Yog tias koj muaj lus nug lossis kev txhawj xeeb, tsis txhob ntshai tham nrog koj tus kws kho mob.

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